Publications – Hopkins Housing & Health Collaborative
- CONCLUSIONS AND RELEVANCE: In this study, the adoption of Part B premium givebacks among MA plans was associated with a substantial increase in plan enrollment. Further research will be needed to understand the total value to enrollees of Part B givebacks, which confers hundreds of millions of dollars monthly to Medicare beneficiaries.
- No abstract
- OBJECTIVES: Older adults and their family and unpaid caregivers are at risk of social isolation and loneliness, leading to adverse health outcomes. We investigated the prevalence and correlates of social isolation and loneliness among caregivers of older Medicare beneficiaries.
- CONCLUSIONS AND RELEVANCE: This secondary analysis of a randomized clinical trial indicated that older adults with hearing loss retained 1 additional person in their social network relative to a health education control over 3 years. While statistically significant, it is unknown whether observed changes in social network are clinically meaningful, and loneliness measure changes do […]
- Determining whether a discharge plan is safe relies on both objective and subjective evaluations. These safety determinations are often made with the goal of having children reintegrated into their community. In the case of pediatric mechanical ventilation via tracheostomy, the stakes for discharge home are high given potential morbidity and mortality risk if there are […]
- CONCLUSIONS: Food insecurity in childhood is associated with high weight status and poor self-reported health in young adulthood. These findings highlight the importance of childhood food insecurity screening and interventions to promote health throughout the life course.
- CONCLUSIONS: Living in neighborhoods with both low food access and low income may be a risk factor for accelerated cognitive decline among urban-dwelling older adults and contribute to widening disparities in healthy food access and cognitive decline.
- The United States faces a growing crisis of social disconnection, marked by increasing rates of loneliness, social isolation, and declining social capital. This has profound implications for public health, as social connection is critical to individual well-being and societal functioning. The "loneliness epidemic," as described by the US Surgeon General, is intertwined with broader challenges […]
- A likely determinant of cognitive function is incarceration. Structural racism directs adverse policing to differentially patrol groups racialized as Black increasing the chances of incarceration, leading to disproportionate representation in prisons. Direct and indirect exposure to incarceration produces chronic stress and trauma for adults racialized as Black. Due to the unique expansion of U.S. prisons […]
- CONCLUSION: Sharing patients with other physicians who had high utilization of opportunistic salpingectomy was associated with an increased likelihood of an index physician subsequently using opportunistic salpingectomy at the time of hysterectomy. Future efforts to promote opportunistic salpingectomy use may explore the potential benefit of strategies leveraging physician peer influence.
- CONCLUSION: Nearly half of older adults without dementia exhibit distinct cognitive profiles warranting tailored interventions. Profile 5 requires comprehensive strategies, whereas Profiles 2, 3, and 4 may benefit from orientation-targeted and intensity-varied training in other cognition domain. Incorporating specific IADL tasks (e.g., meal preparation, medication management for Profile 5 and shopping, banking for Profile 4) […]
- CONCLUSION: Older patients and patients with more comorbidities were more likely to receive 1 L ICI off-label, but these differences did not persist after FDA approval. After 1 L ipilimumab/nivolumab approval, patients receiving 1 L ICI were more likely younger, healthy, and receiving dual-ICI regimens.
- CONCLUSIONS AND RELEVANCE: This qualitative interview study found important differences in priorities for AI and novel technologies for older adults across key partners. Public health, regulatory, and advocacy strategies are needed to raise awareness about these priorities, foster engagement, and align incentives to effectively use AI to improve the health of older adults.
- CONCLUSIONS: Efforts to improve the self-management of illness symptomology may mitigate challenges to social connection among middle-aged and older Black men.
- No abstract